Healthcare Provider Details

I. General information

NPI: 1275903916
Provider Name (Legal Business Name): LAURA BEHM DNP, FNP-C, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2015
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SAINT MARYS AVE STE 101
LA PLATA MD
20646-4037
US

IV. Provider business mailing address

1 SAINT MARYS AVE STE 101
LA PLATA MD
20646-4037
US

V. Phone/Fax

Practice location:
  • Phone: 240-257-5436
  • Fax: 301-235-1700
Mailing address:
  • Phone: 240-257-5436
  • Fax: 301-327-5432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberR191044
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR191044
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR191044
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: